Department of Urology, Habib Bourguiba University Hospital Center, Sfax, Tunisia.
Urology. 2010 Jul;76(1):65-6. doi: 10.1016/j.urology.2009.10.021.
Persistent Müllerian duct syndrome with transverse testicular ectopia is a rare pathologic association. A 7-month-old boy was admitted to the emergency department with a right testicular swelling. Physical examination revealed a tender right testis, the upper limits of which could not be palpated. The left testis was impalpable. An ultrasound revealed a normal right testis with an evident blood flow, overcome by a similar mass but avascular. At surgery, the right hernial sac contained both testes with an infantile uterus and fallopian tubes. The left testis was viable after manipulation. Proximal-salpingectomy with corporeal hysterectomy was performed to allow bilateral scrotal orchiopexy.
持续性 Müllerian 管发育不全合并睾丸横位是一种罕见的病理关联。一名 7 个月大的男婴因右侧睾丸肿胀到急诊科就诊。体格检查发现右侧睾丸触痛，上极无法触及。左侧睾丸不可触及。超声检查显示右侧睾丸正常，血流明显，被类似的肿块所掩盖，但无血管。手术时，右侧疝囊内有两个睾丸，伴有婴儿期子宫和输卵管。左侧睾丸在操作后仍有活力。行近端输卵管切除术和子宫体切除术，以进行双侧阴囊睾丸固定术。
